45D0508032 CLIA NUMBER - UNIVERSITY CLINIC

Laboratory Demographics

  • CLIA Code: 45D0508032
  • Facility Name: UNIVERSITY CLINIC
  • Facility Address: 111 N UNIVERSITY AVENUE
    LUBBOCK, TX
    ZIP 79415
  • Facility Phone: 806 747-4415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIEGO RIVERA MD
  • NPI Number: 1063468031
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D0508032
LAB Type Physician Office
Facility Name UNIVERSITY CLINIC
Street 111 N UNIVERSITY AVENUE
City LUBBOCK
State TX
ZIP 79415
Phone 806 747-4415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director DIEGO RIVERA MD

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This page was last updated on: 9/29/2025